© 2019, Center for Diagnostic Imaging. Updated 06/19.
This document has been prepared by the subspecialized, board-
certified radiologists who interpret patient exams for Center for
Diagnostic Imaging (CDI). These specific diagnostic imaging
exams are the most commonly ordered scans by the chiropractic
community. This is not an all-inclusive list of all services CDI offers.
Diagnostic imaging examsGUIDE FOR CHIROPRACTORS
Spine Imaging
CPT codes are a copyright of the American Medical Association (AMA). If you cannot find what you are looking for, reference the “AMA CPT Manual.
Effective dates: 1/1/2019-12/31/2019
MODALITY PROCEDURE REASON FOR STUDY CPT
MRI MR Cervical without contrast
yy Disc herniationyy Fractureyy Neck painyy Radiculopathyyy Soft-tissue damageyy Spinal stenosisyy Trauma
72141
MRI MR Cervical without contrast with Flexion & Extension
yy Neck pain/upper extremity radicular symptoms, especially when position dependentyy Neck pain w/upper extremity radicular symptoms
w/suspected cervical instabilityyy Disc herniationyy Fractureyy Soft tissue damageyy Spinal stenosisyy Trauma
72141
MRI MR Thoracic without contrast
yy Arthritisyy Disc herniationyy Fractureyy Radiculopathyyy Spinal cord injuryyy Spinal stenosisyy Traumayy Upper/mid back pain
72146
MRI MR Lumbar without contrast
yy Disc bulgesyy Disc herniationyy Incontinenceyy Low back painyy Radiculopathyyy Spinal stenosisyy Trauma
72148
MRI MR Lumbar without contrast with Flexion & Extension
yy Back pain/lower extremity radicular symptoms, especially when position dependentyy Back pain/lower extremity radicular symptoms w/suspected
low back instabilityyy Disc bulgeyy Disc herniationyy Incontinenceyy Spinal stenosisyy Trauma
72158
MRI MR Lumbar without & with contrast
yy Cauda Equina syndromeyy Mass/lesionyy Post-operative back pain or radiculopathyyy Suspected disc space infection/osteomyelitis
72158
MRI MR Lumbar Weight Bearing without & with contrast
yy Cauda Equina syndromeyy Mass/lesionyy Suspected disc space infection/osteomyelitisyy When the above symptoms change significantly w/versus
w/out weight bearing
73721
MRI MR Sacrum/Coccyx without contrast
yy Injuryyy Pain
72195
Spine Imaging
To help diagnose and treat the root cause of your patient’s pain.
call 855.643.7226fax 855.550.2005online insideCDI.com
locations myCDI.com
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MODALITY PROCEDURE REASON FOR STUDY CPT
X-RAY XR Cervical 2-3 Views yy Neck painyy Suspected lesionyy Upper extremity pain
72040
X-RAY XR Cervical 4-5 Views yy Neck painyy Suspected lesion yy Upper extremity pain
72050
X-RAY XR Cervical 6+ Views (Davis Series)
yy Neck painyy Suspected lesion yy Upper extremity pain
72052
X-RAY XR Thoracic 2 Views yy Back painyy Suspected lesion
72070
X-RAY XR Thoracic 4+ Views yy Back pain with thoracic cage painyy Suspected lesion
72074
X-RAY XR Lumbar 2-3 Views yy Back painyy Suspected lesionyy Leg pain
72100
X-RAY XR Lumbar 4 +Views yy Back painyy Suspected lesionyy Leg pain
72110
X-RAY XR Lumbar Complete with Bending yy Back pain with or without leg pain, especially if symptoms increase with bendingyy Suspected lesionyy Suspected lumbar instability
72114
X-RAY XR Sacrum & Coccyx 2+ Views yy Fractureyy Pain or tendernessyy Tumor
72220
CT CT Cervical without contrast yy Arthritisyy Disc herniationyy Failed fusionyy Infection
72125
CT CT Lumbar without contrast yy Arthritisyy Disc herniationyy Failed fusionyy Infection
72131
MOREQUESTIONS
call 855.643.7226 online myCDI.com/WAChiro
Musculoskeletal Imaging Musculoskeletal Imaging Musculoskeletal Imaging
MODALITY PROCEDURE REASON FOR STUDY CPT
MRI MR Ankle without contrast yy Avascular necrosisyy Infectionyy Ligament tear yy Tendon tearyy Tumor/mass
73721
MRI MR Ankle, MR Knee, MR Hip post-arthrogram with contrast
yy Post-arthrogram review of joint 73722
MRI MR Elbow without contrast yy Avascular necrosisyy Infectionyy Ligament tearyy Tendon tearyy Tumor/mass
73221
MRI MR Elbow, MR Wrist, MR Shoulderpost-arthrogram with contrast
yy Post-arthrogram review of joint 73222
MRI MR Foot without contrast yy Avascular necrosisyy Infectionyy Ligament tearyy Tendon tearyy Tumor/mass
73718
MRI MR Hip Unilateral without contrast
yy Avascular necrosisyy Infectionyy Tumor/mass
73721
MRI MR Knee without contrast yy Arthritisyy Avascular necrosisyy Damaged cartilage, ligaments or tendonyy Decreased range of motionyy Infectionyy Meniscus tear yy Painyy PCL/ACL tearyy Swellingyy Tumor/mass
73721
MRI MR Pelvis (Bone) without contrast
yy Fractureyy Sacral/coccyx disorderyy SI joint pain
72195
MRI MR Shoulder without contrast yy Arthritisyy Decreased range of motionyy Fractureyy Labral tearyy Painyy Rotator cuff tear
73221
MODALITY PROCEDURE REASON FOR STUDY CPT
MRI MR Tibia/Fibula Unilateral without contrast
yy Infectionyy Massyy Tumor
73718
MRI MR SI Joints without contrast yy SI joint pain 72195
MRI MR Upper Extremity Joint with contrast
yy Canceryy Infectionyy Massyy Metastasesyy Painyy Tumor
73218
MRI MR Wrist without contrast yy Arthritisyy Injuryyy Painyy Swelling
73221
X-RAY XR Ankle 3 Views yy Arthritisyy Bone spursyy Congenital abnormalitiesyy Fracturesyy Infectionyy Tendinitisyy Tumors
73610
X-RAY XR Elbow 3 Views yy Arthritisyy Bone spursyy Congenital abnormalitiesyy Fracturesyy Infectionyy Tendinitisyy Tumors
73080
X-RAY XR Finger(s) 2 Views yy Arthritisyy Inflammationyy Fractureyy Tumor
73140
X-RAY XR Foot 3 Views yy Arthritisyy Inflammationyy Fractureyy Tumor
73630
X-RAY XR Hand 3 Views yy Arthritisyy Bone spursyy Congenital abnormalitiesyy Fracturesyy Infectionyy Tendinitisyy Tumors
73130
X-RAY XR Hip Bilateral 2 Views yy Avascular Necrosisyy Infectionyy Tumor/mass
73520
X-RAY XR Hip Unilateral 2 Views yy Arthritisyy Hip dysplasiayy Post-operative review
73510
MODALITY PROCEDURE REASON FOR STUDY CPT
X-RAY XR Knee 3 Views yy Arthritisyy Bone spursyy Congenital abnormalitiesyy Fracturesyy Infectionyy Tendinitisyy Tumors
73562
X-RAY XR Leg Length yy Quantify leg-length discrepancyyy Back or lower extremities painyy Compensatory gaits yy Degenerative arthritis
77073
X-RAY XR Pelvis 1-2 Views yy Arthritisyy Inflammationyy Fractureyy Tumor
72170
X-RAY XR Ribs Unilateral 3 Views yy Fracture 71101
X-RAY XR Shoulder 2 Views yy Rotator cuff tearyy Swellingyy Tenderness
73030
X-RAY XR Tibia/Fibula 2 Views yy Arthritisyy Inflammationyy Fractureyy Tumor
73590
X-RAY XR Wrist 3 Views yy Arthritisyy Bone spursyy Congenital abnormalitiesyy Fracturesyy Infectionyy Tendinitisyy Tumors
73590
ARTHROGRAM Arthrogram Ankle yy Abnormal growths yy Fluidyy Ligament or cartilage degeneration,
disease or tear
27648
ARTHROGRAM Arthrogram Elbow yy Abnormal growths yy Fluidyy Ligament or cartilage degeneration,
disease or tear
24220
ARTHROGRAM Arthrogram Shoulder yy Abnormal growths yy Fluidyy Ligament or cartilage degeneration,
disease or tearyy Rotator cuff tear
23350
ARTHROGRAM Arthrogram Wrist yy Abnormal growths yy Fluidyy Ligament or cartilage degeneration,
disease or tear
25246
